Free Rental Dispute Affidavit Template
RENTAL DISPUTE AFFIDAVIT
I, [Your Name], of Cleveland, OH 44101, being duly sworn, do hereby declare and state as follows: I am the tenant at the property located in Kansas City, MO 64101. I entered into a rental agreement with Anita Wehner on January 15, 2023.
As of October 15, 2051, I have encountered the following issues that constitute a rental dispute:
|
Issue |
Date Reported |
Description |
Status |
|---|---|---|---|
|
Plumbing Issues |
September 1, 2051 |
Leak under the kitchen sink |
Unresolved |
|
Unauthorized Entry |
October 10, 2051 |
Landlord entered without notice |
Unresolved |
|
Heater Issue |
October 1, 2051 |
Inconsistent heating |
Unresolved |
I have attempted to resolve these issues with Anita Wehner through the following means:
|
Date |
Comms Method |
Details |
|---|---|---|
|
September 5, 2051 |
|
Reported plumbing issue, no response. |
|
September 15, 2051 |
Phone Call |
Discussed heating issue; promised action |
|
October 12, 2051 |
Written Notice |
Notified about unauthorized entry |
Signature and Notarization
Signed on this day October 15, 2051, at Kansas City, MO 64101.
[Your Name]
Affiant
Notary Public:
Subscribed and sworn to (or affirmed) before me on this October 15, 2051, by [Your Name], who proved to me based on satisfactory evidence to be the person who appeared before me.
Notary Public
My Commission Expires: __________
I'm filing this affidavit to document the rental dispute for legal action or mediation, declaring under penalty of perjury that it's true.
